Glenn William Stambo, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME76556 Issued in FL

Practice address

14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141

Phone

(813) 929-5451

Fax

(813) 929-5465

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Hahnemann University College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealth Carrollwood Hospital, Tampa, FL, CCN 100069
• Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
• Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
• Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
• Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: gstambo513316@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment Care Compare group NPD
• Florida Radiology Imaging at Lake Mary, LLC

  dba AdventHealth Imaging

  • Diagnostic Radiology Physician
  • Lake Mary, FL
  • NPI 1740256494
  Medicare reassignment NPD
• St Josephs Diagnostic Center LLC

  dba BayCare Outpatient Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1558342998
  Medicare reassignment NPD
• Florida Radiology Imaging at Lake Mary, LLC

  dba AdventHealth Imaging Lake Nona

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1003208620
  NPD
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  NPD (past)
• Boston University Medical Center Radiologists, Inc.

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1134166945
  NPD (past)
• Team Radiology Physicians, PA

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1932133675
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Port Charlotte Inc

  dba Adventhealth Port Charlotte

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1760299093
  Care Compare affiliation
• Adventist Health System-Sunbelt Inc

  dba AdventHealth Cancer Institute Sebring

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Care Compare affiliation
• Pasco-Pinellas Hillsborough Community Health System Inc

  dba AdventHealth Wesley Chapel

  • General Acute Care Hospital
  • Wesley Chapel, FL
  • NPI 1073893020
  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Tampa

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1053321919
  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Tampa Outreach Laboratory

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1134766694

  Hospital

  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Carrollwood

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1427068345
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1003881350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403444",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303843444",
            "telephone_number": "813-348-6951",
            "fax_number": "813-348-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 RIVEREDGE DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372141",
            "telephone_number": "813-929-5451",
            "fax_number": "813-929-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4516 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336032732",
            "country_code": "US",
            "telephone_number": "813-348-6951",
            "fax_number": "813-348-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMBO",
        "first_name": "GLENN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME76556",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME76556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "300130409",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254668000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Stalnaker, RDN, LDN
• Scott Stalter
• Michael Glenn Stalvey, RPH
• Trevor Stamand
• Paige Stamatelos, M.A., BCBA
• Leah M Stamler, DDS
• Cameron Stamm
• Christina Evyenia Stamoolis, M.D.
• Jenna Rae Stamos
• Jessica Marie Stamper, OTR

• Diagnostic Radiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.